56th Medgrp-Luke

NPI #1194700971 in Luke Afb, Arizona

Provider Information

NPI Number: 1194700971
Entity Type: Organization
Organization Name: 56th Medgrp-Luke
Subpart: Yes (part of a larger organization)
Parent Organization: 56TH MEDGRP-LUKE
Primary Specialty: Clinic/Center - Military/U.S. Coast Guard Outpatient
Enumeration Date: Dec 14, 2005
Last Updated: Jun 16, 2025

Practice Location

Address: 7219 N LITCHFIELD RD
City: Luke Afb
State: Arizona
ZIP Code: 85309
Phone: (623) 856-4057

Authorized Official

Name: JEN LEWANDOWSKI
Title: AIR FORCE UBO ANALYST
Phone: (703) 817-4030

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Military and U.S. Coast Guard Ambulatory Procedure — Military and U.S. Coast Guard Ambulatory Procedure	261QM1101X
Military/U.S. Coast Guard Pharmacy	332000000X
Clinic/Center - Military/U.S. Coast Guard Outpatient — Military/U.S. Coast Guard Outpatient	261QM1100X	Primary

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